摘要
目的:总结缺血性结肠炎的临床表现及内镜特征。方法:对笔者所在医院及南昌大学第二附属医院2003-2010年经结肠镜确诊的47例缺血性结肠炎患者的临床及内镜资料进行回顾性总结分析。结果:多数患者伴有高血压、心血管疾病、脑梗死、糖尿病和便秘等基础疾病或诱因。临床主要表现为突发下腹部痛、便血、腹泻三联征。病变部位主要发生在左侧结肠,内镜下主要表现为病变肠段黏膜充血、水肿、糜烂、溃疡及增生性改变且与正常肠黏膜界限分明。结论:中老年人出现急性腹痛及血便时应警惕缺血性结肠炎的可能,及早行结肠镜检查对明确诊断、早期治疗、判断预后具有重要意义。
Objective： To study the clinical manifestation and endoscopic features of ischemic colitis（IC）.Method： Forty-seven patients diagnosed in our hospital and the second affiliated hospital to nanchang university with IC over a 7-years period（2003-2010） were retrospectively analyzed. The clinical and endoscopic data were studied.Result： 91.5% of the cases were associated with the basic diseases such as hypertension, cardiovascular disease, cerebral infarction, diabetes mellitus and constipation. IC usually presented with sudden onset of lower quadrant abdominal pain, hematochezia and diarrhea. The most common locations were on the left colon. Its main endoscopic appearance was the affected bowel showed mucosal congestion, edema, erosion, ulceration, hyperplasia, demarcated with normal areas.Conclusion： Ischemic colitis should be suspected in elderly patients with acute abdominal pain and hematochezia, early colonoscopy plays an important role in diagnosis, early treatment and prognosis.
出处
《中外医学研究》
2014年第17期142-143,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
缺血性结肠炎
临床特点
内镜表现
Ischemic colitis
Clinical feature
Colonoscope pattern
